Please complete electronically, in consultation with your Co-ordinator and your host institution, and print for signature. The signed form can either be posted to our office (address below) or scanned and emailed to studyabroad@st-andrews.ac.uk
. The signed form must be returned to CSA no later
than four weeks after commencing your placement abroad.
1.
Personal Information
Surname
Forenames
St Andrews ID
Nationality
Degree intention
2.
Host Organisation Information
Full name of host organisation
Postal address
Website
Size of organisation
Sector
No. of permanent staff in the department (team) hosting the student
No. of other students/ trainees hosted at the same time in the department (team) hosting the student
Mentor Name
Function
Email
Telephone no.
Small (1-50 staff)
Medium (51-500 staff)
Large (>500 staff)
St Katharine’s West, 16 The Scores, St Andrews, Fife KY16 9AX, Scotland
T: +44 (0)1334 462245/463310 F: +44 (0)1334 463330
E: studyabroad@st-andrews.ac.uk
and collabs@st-andrews.ac.uk
W: www.st-andrews.ac.uk/studyabroad
The University of St Andrews is a charity registered in Scotland, No: SC013532

3.
Work Placement Details
Placement start date (dd/mm/yyyy)
Placement end date (dd/mm/yyyy)
Hours of work
Will the student receive financial support for the placement?
Will the student receive a contribution in kind for the placement?
Yes No
Yes No
4.
Training Programme (please complete in consultation with your Co-ordinator and your host organisation)
Knowledge, skills and competence to be acquired
Detailed programme for the training period
Tasks of the placement student
Monitoring and evaluation plan
5.
Commitment of the three parties and signatures
By signing this document the student, the University of St Andrews and the host organisation confirm that they will abide by the principles of the Quality Commitment for student placements set out in the attached document.
1. The Student
Signature: Date:
2. The host organisation
In addition to the Quality Commitment, we confirm that:

The proposed training programme is approved, and that the details of our organisation on this form are accurate.

We will monitor the progress of the placement and consult with St Andrews if necessary;

We will provide the student with a full and clear induction, including health and safety arrangements, fire precautions and emergency evacuation arrangements;

We will assist the University with any information about the placements of overseas students required by UK immigration authorities;

In cases of serious accidents or incidents involving the student, or breaches of discipline by

the student, we will consult with colleagues at St Andrews.

On completion of the training programme the organisation will issue a Certificate of
Attendance to the student.
Is the student covered by the accident insurance of the host organisation (covering at least damages caused to the student at the workplace): Yes No
If yes, please specify whether it also covers:
-accidents during travels made for work purposes: Yes No
-accidents on the way to and from work: Yes No
Is the student covered by a liability insurance of the host organisation (covering damages caused by the student at the workplace): Yes No
Name: Position:
Signature: Date:
3. The University of St Andrews: Placement Co-ordinator
I confirm that this proposed training programme agreement is approved and our School will carry out a risk assessment following relevant guidelines set by the University. The student will be covered by the University’s travel insurance. The placement is an integral part of the student’s degree programme. Upon successful completion, the student will be awarded the appropriate credits and the placement will appear on the student’s HEAR transcript.
Name: School:
Signature: Date:
QUALITY COMMITMENT
For work placements
THE UNIVERSITY OF ST ANDREWS UNDERTAKES TO:

Define the learning outcomes of the placement in terms of the knowledge, skills and competencies to be acquired.

Assist the student in choosing the appropriate host organisation, project duration and placement content to achieve these learning outcomes.

Select students on the basis of clearly defined and transparent criteria and procedures and sign a placement contract with the selected students.


Prepare students for the practical, professional and cultural life of the host country, ensure the students have adequate knowledge of the local language.

Provide advice to students concerning travel arrangements, visa, accommodation, residence or work permits, social security cover and insurance.

Give full recognition to the student for satisfactory completed activities specified in the
Training Agreement.

Evaluate with each student the personal and professional development achieved through participation in the Erasmus programme.
THE UNIVERSITY OF ST ANDREWS AND THE HOST ORGANISATION JOINTLY UNDERTAKE TO:

Negotiate and agree a tailor-made Training Agreement (including the programme of the placement and the recognition arrangements) for each student and the adequate mentoring arrangements.

Monitor the progress of the placement and take appropriate action if required.

Neither party will discriminate on the basis of race, sex, age, religion, sexual orientation, veterans/national guard/reserves status or disability.
THE HOST ORGANISATION UNDERTAKES TO:

Assign to students tasks and responsibilities (as stipulated in the Training Agreement) to match their knowledge, skills, competencies and training objectives and ensure that appropriate equipment and support is available

Draw a contract or equivalent document for the placement in accordance with the requirements of the national legislation

Appoint a mentor to advise students, help them with their integration in the host environment and monitor their training progress and provide help and support to St
Andrews students in finding suitable and safe accommodation.

Provide practical support if required, check appropriate insurance cover and facilitate understanding of the culture of the host country

Forward its own risk assessment documentation for the student placement to corresponding departmental coordinator at the University of St Andrews and alert the
University to any circumstances that might affect the level of risk - especially in work environments which are not entirely office based such as labs, factories, farms, outdoors etc.

Make their best efforts to ensure the health and safety of the St Andrews students and provide all necessary training in this respect.
THE STUDENT UNDERTAKES TO:

Comply with all arrangements negotiated for his/her placement and to do his/her best to make the placement a success


Take full insurance for his/her travel and stay at the work placement. (The University of
St Andrews insures students for the duration of their placement. https://www.standrews.ac.uk/studyabroad/outgoingstudents/accommodationandlivingabroad/insur ance/ )

Abide by the rules and regulations of the host organisation, its normal working hours, code of conduct and rules of confidentiality

Communicate with the sending institution about any problem or changes regarding the placement

Submit a report in the specified format and any required supporting documents at the end of the placement.